Financial Incentives for Care Gaps
1 other identifier
interventional
8,042
1 country
1
Brief Summary
This project seeks to understand how individuals respond to financial incentive programs for wellness care. In a randomized controlled trial among customers with care gaps, the investigators will experimentally compare the impacts of incentives for gap closure (gift cards), information on existing gaps (mailers), and no intervention. The research objectives are to assess how responsive individuals are to incentives for, and to information about, existing care gaps; and to assess spillovers from incentives onto other care. In addition, impacts on downstream utilization will be studied, which may be impacted if financial incentives are effective at increasing wellness visits.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2018
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 31, 2018
CompletedFirst Submitted
Initial submission to the registry
October 11, 2018
CompletedFirst Posted
Study publicly available on registry
October 23, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2021
CompletedOctober 6, 2021
September 1, 2021
1.3 years
October 11, 2018
October 4, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Proportion of care gaps closed
Care gap closure for all care gaps. A care gap is considered closed for an individual or dependent who had not received recommended care (i.e. who had a care gap) at the time of enrollment at the time they receive the recommended care. For example, if a dependent child has not received lead screening (LSC) at the time of enrollment, the LSC care gap is considered closed once the child receives a lead screening.
6 months, from the date of randomization until end-of-year (i.e., December 31, 2018)
Proportion of care gaps closed
Care gap closure for all care gaps. A care gap is considered closed for an individual or dependent who had not received recommended care (i.e. who had a care gap) at the time of enrollment at the time they receive the recommended care. For example, if a dependent child has not received lead screening (LSC) at the time of enrollment, the LSC care gap is considered closed once the child receives a lead screening.
18 months, from the date of randomization until December 31, 2019
Secondary Outcomes (8)
Health care expenditure during study - Total claims
6 months, from the date of randomization until end-of-year
Health care expenditure following study - Total claims
12 months, from December 31 2018 - December 31 2019
Outpatient visits during study
6 months, from the date of randomization until end-of-year
Outpatient visits following study
12 months, from December 31 2018 - December 31 2019
Inpatient visits during study
6 months, from the date of randomization until end-of-year
- +3 more secondary outcomes
Study Arms (18)
Control: W34
NO INTERVENTIONMembers receiving the Control intervention for the W34 (3- to 6-year-old well visit) gap will not receive a mailer.
Information only: W34
EXPERIMENTALMembers receiving the Information Only intervention for the W34 care gap will receive a mailer informing them of that gap, but not of financial incentives for closing the care gap.
Incentives: W34
EXPERIMENTALInformational W34 mailer and incentive to close gap
Control: LSC
NO INTERVENTIONMembers receiving the Control intervention for the LSC (lead screening in children) gap will not receive a mailer.
Information only: LSC
EXPERIMENTALInformational LSC mailer and incentive to close gap
Incentives: LSC
EXPERIMENTALMembers receiving the Incentives intervention for the LSC care gap will receive a mailer informing them of the gap and eligibility for a gift card if they close the gap.
Control: IMA
NO INTERVENTIONNo mailer for IMA (immunizations) gap
Information only: IMA
EXPERIMENTALInformational IMA mailer
Incentives: IMA
EXPERIMENTALInformational IMA mailer and incentive
Control: CDC
NO INTERVENTIONNo mailer for CDC (clinical diabetes care) gap
Information only: CDC
EXPERIMENTALInformational CDC mailer
Incentives: CDC
EXPERIMENTALInformational CDC mailer and incentive
Control: CCS
NO INTERVENTIONNo mailer for CCS (cervical cancer screening)
Information only: CCS
EXPERIMENTALInformational CCS mailer
Incentives: CCS
EXPERIMENTALInformational CCS mailer and incentive
Control: AWC
NO INTERVENTIONNo mailer for AWC (adolescent well-care visit) gap
Information only: AWC
EXPERIMENTALInformational AWC mailer
Incentives: AWC
EXPERIMENTALInformational AWC mailer and incentive
Interventions
Incentives for gap closure.
Information on care gap and closure process.
Eligibility Criteria
You may qualify if:
- Is a partner organization member in the region of study
- Has a care gap in one of the six target areas
You may not qualify if:
- Participating in another select high-intensity wellness intervention provided by the partner organization
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Massachusetts Institute of Technology
Cambridge, Massachusetts, 02139, United States
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 11, 2018
First Posted
October 23, 2018
Study Start
August 31, 2018
Primary Completion
December 31, 2019
Study Completion
June 30, 2021
Last Updated
October 6, 2021
Record last verified: 2021-09